Gage, Brooke Elizabeth
Gage, Brooke Elizabeth is an individual health care provider with primary practice located at 8937 S Garnett Rd , Broken Arrow OK 74012-6004. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Gage, Brooke Elizabeth can be contacted via phone (918) 872-9777.Contact Information
Primary practice address
8937 S Garnett Rd
Broken Arrow OK 74012-6004
Phone: (918) 872-9777
Fax: (918) 872-9779
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 1486 | Oklahoma |
Profile Details
| NPI number | 1972801215 |
|---|---|
| LBN Legal business name | Gage, Brooke Elizabeth |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 10th, 2011 |
| Last updated | Aug 20th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972801215 | NPPES |
| Oklahoma | Other | 1486 | LICENSE #1486 |
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